NPIMap

Organization Active NPI

Haven Physical Therapy LLC

  • Physical Therapist
  • Ozark, MO
National Provider Identifier
1740586940
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2000150904 Issued in MO
Legal business name
HAVEN PHYSICAL THERAPY LLC
Practice address
850 N 25TH St
Ozark, MO 65721-8033
Phone
(417) 581-1234
Fax
(888) 550-3518
NPI assigned
Feb 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. John Ray, MPTNPI 1154597524
Title
Owner
Phone
(417) 581-1234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 2000150904 MO Primary

Addresses

Primary practice location

850 N 25TH St
Ozark, MO 65721-8033

Mailing address

850 N 25TH St
Ozark, MO 65721-8033
Phone (417) 581-1234

Other practice location 1

755 N 20th St
Ozark, MO 65721-9155
Phone (417) 581-1234

Other practice location 2

520 E Jackson St Ste 6
Willard, MO 65781-9210
Phone (417) 581-1234

Other practice location 3

223 S Jefferson
Ava, MO 65608
Phone (417) 581-1234

National Provider Directory

National Provider Directory

Locations

1709 James River Rd
Ozark, MO 65721
Phone (417) 496-5958

520 E Jackson St
Ste 6
Willard, MO 65781
Phone (417) 581-1234

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1740586940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 N 25TH ST",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657218033",
            "telephone_number": "417-581-1234",
            "fax_number": "888-844-7031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 N 25TH ST",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657218033",
            "telephone_number": "417-581-1234",
            "fax_number": "888-550-3518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "755 N 20th St",
            "address_purpose": "LOCATION",
            "city": "Ozark",
            "state": "MO",
            "postal_code": "657219155",
            "country_code": "US",
            "telephone_number": "417-581-1234",
            "fax_number": "888-550-3518",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 E Jackson St Ste 6",
            "address_purpose": "LOCATION",
            "city": "Willard",
            "state": "MO",
            "postal_code": "657819210",
            "country_code": "US",
            "telephone_number": "417-581-1234",
            "fax_number": "888-550-3518",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "223 S Jefferson",
            "address_purpose": "LOCATION",
            "city": "Ava",
            "state": "MO",
            "postal_code": "65608",
            "country_code": "US",
            "telephone_number": "417-581-1234",
            "fax_number": "888-550-3518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HAVEN PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-581-1234",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2000150904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozark, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.